Hello, i am a 30 years old boy portugueses (sorry for my english) and in 11th may i had sex with a boy. To explain better, i am going befor that day. At the beginnnig of this year i had fungus / mycosis on my groins and scrotum, did treatemet but it has never been totally good since then. From the last 2 weeks i am doing topic corticosteroids on the skin on those áreas and oral intraconazol. In the last 48h i had sex with that guy, we did both oral sex without condom and i inserted my pénis inside him (he didnt do that to me). I inserted my pénis 4 times without condom but for a few seconds in every time. (remeber i have my skin of my pénis scrotum and groin a little with inflamation). After that i put a condom and we did everything until the end with protection. Imediately after the sex i see my pénis, groins, and scrotum more red than usually. After that he tells me he is hiv+ undetectable. He show me his analysis (hiv 1 viral <50.000) and herpes and syphilis both IgM + in 2th january. He said he did tretament and last time doctor said he was undetectable was on 2th january. My question: which is my risk in this situation? And when should i get tested? Thank u very very much!



Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV after engaging in unprotected insertive sex. From the information given, this scenario is determined to be High Risk (there is evidence of transmission through these activities and are the majority of cases of transmission). 

The scenario mentioned above
does meet the three components of the transmission equation. It is important to note that if any unprotected intercourse occurred, then the scenario is determined to be high risk, regardless of the time of the exposure or the HIV status of the person involved in the activity.Helpline Transmission Equation .jpgAfter engaging in a high risk activity it is recommended to access HIV testing. An HIV test that detects antibodies to the HIV virus (3rd Generation Tests) or an HIV test that detects both HIV antibodies as well as the HIV virus (4th Generation Tests) are considered completely conclusive 3 months post-exposure (1). If you would like to access earlier testing, a 4th generation test conducted 6 weeks post-exposure is considered conclusive by most HIV specialists, with a follow-up test at 3 months post-exposure to fulfill guidelines for completely conclusive results. During the window period between a risky activity and accessing an accurate HIV test, it is important to not engage in further risky activity.

Having open communication with your partner is a great way to take care of your sexual health. A person living with HIV who has an undetectable viral load is not able to transmit HIV through sexual intercourse, thus it is very unlikely that HIV transmission occurred in this scenario (2). Please note that it is still highly recommended to access HIV testing as well as other STI testing after engaging in risky activities with another person, regardless of who they are or their HIV status.

In the future, if you are continuously engaging in high risk activity, there are biomedical approaches such as PrEP and PEP (accessed within 72 hours of the activity) that help lower your risk of acquiring HIV. Refer to your physicians for further information.

Recommendation: Refer to a health care provider for HIV testing outside of the HIV window period.


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